David Jarsky, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

11588 Issued in MA

Practice address

30 Domino Dr Ste 2
Concord, MA 01742-2802

Phone

(978) 842-1842

NPI assigned

Jun 20, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 25, 2023 through Nov 25, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• David Jarsky, PSYD, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Concord, MA
  • NPI 1689322828
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1104346311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 DOMINO DR STE 2",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422802",
            "telephone_number": "978-842-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 DOMINO DR STE 2",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422802",
            "telephone_number": "978-842-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARSKY",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "11588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia A James
• Kathryn Anne Janeczek
• Julie M Jankelson, M.D.
• Bernadette Jaros, PT
• Joseph Andrew Jarosz, D.D.S.
• Maxine Grace Jeffers, RN
• Stephen A Jenkins, M.D
• Jessica Gutchess Psychotherapy, PLLC
• Daniel Jiang, D.M.D. , M.M.SC
• Jitin Sahani DMD LLC

• Clinical Psychologist in Concord, MA
• Providers in Concord, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.